关节疾病疼痛的频率是否会影响身体和情绪功能?
Goli Chamani1, Nora Gourie1, Zam-Zam Osman2
1Department of Dental Medicine, Karolinska Institutet, Huddinge, Sweden.
Journal of oral rehabilitation
|November 17, 2025
概括
非常频繁的部疾病 (TMD) 患者经历更大的疼痛强度和残疾. 这项研究验证了国际口腔面部疼痛分类 (ICOP) 的基于频率的分类,用于TMD风险评估和管理.
科学领域:
- 面部或面部疼痛研究研究
- 部部疾病 (TMD) 的分类
- 临床疼痛评估 临床疼痛评估
背景情况:
- 疼痛频率是疼痛慢性和相关痛苦的关键指标.
- 国际口腔面部疼痛分类 (ICOP) 将TMD分为频繁 (FR) 或极频繁 (HF).
- 这种基于频率的TMD分类的临床相关性仍未确立.
研究的目的:
- 调查FR和HFTMD患者之间的人口统计,诊断和临床差异.
- 评估疼痛强度,残疾,功能,心理社会因素和生活质量的变化.
- 确定ICOP基于频率的TMD分类的临床相关性.
主要方法:
- 对208名被诊断患有FR或HFTMD的患者进行了回顾性分析.
- 用于评估的TMD (DC/TMD) 的使用诊断标准.
- 使用单变量和多变量统计数据来比较FR和HF组 (p <0.05).
主要成果:
- HF TMD 患者患关节痛和退行性关节疾病的患病率更高.
- HF TMD 组表现出明显更高的特征性疼痛强度 (CPI),下巴功能限制量表 (JFLS),疼痛灾难化量表 (PCS) 和口腔健康影响概况-5 (OHIP-5) 分数.
- 更高的CPI,等级慢性疼痛量表 (GCPS),PCS,JFLS和OHIP-5分数区分了HF与FRTMD患者.
结论:
- 与FRTMD患者相比,HFTMD患者表现出疼痛强度增加,残疾,灾难化和生活质量降低.
- 这项研究为ICOP基于频率的TMD分类的临床意义提供了第一个证据.
- 这些发现强调了这种分类在TMD风险评估和患者管理中的重要性.
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